Lakeside Chiropractic LLC
NPI #1144063447 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1144063447
- Entity Type
- Organization
- Organization Name
- Lakeside Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 14, 2024
- Last Updated
- Jun 14, 2024
Practice Location
- Address
- 6885 BOUDIN ST NE STE 200
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-2091
- Phone
- (651) 583-8971
Authorized Official
- Name
- CONNOR THOMAS WEARS, DC
- Title
- OWNER
- Phone
- (651) 583-8971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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